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Individual

DR. GERMAINE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
90 ALTON RD PH 33130, MIAMI BEACH, FL 33139-6707
(305) 532-4510
(305) 722-3625
Mailing address
81 N HIBISCUS DR, MIAMI BEACH, FL 33139-5117
(786) 553-4510
(305) 722-3625

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME70893
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME70893
FL
2085U0001X
Diagnostic Ultrasound Physician
ME70893
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268922700
FL
01
43944
BC BS OF FL PROVIDER NO
FL
01
43944B
MEDICARE
FL
01
ME70893
FL MEDICAL LICENSE NO
FL
Enumeration date
06/06/2006
Last updated
05/28/2019
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